Specified Drugs Regulation Règlement sur les …

1 THE PRESCRIPTION Drugs COST ASSISTANCEACT( c. P115)LOI SUR L'AIDE L'ACHAT DE ORDONNANCE(c. P115 de la ) Specified Drugs RegulationR glement sur les m dicaments couvertsRegulation 6/95 Registered January 23, 1995R glement 6/95 Date d'enregistrement : le 23 janvier 1995 Definition of benefit year1In this Regulation , "benefit year" meansthe year beginning on April 1 and ending onMarch 31 of the next 61/96D finition1 Pour l'application du pr sent r glement, ann e d'indemnisation s'entend d'une ann ed butant le 1er avril et se terminant le 31 mars del'ann e 61/96 Specified drugs2 The Drugs or other items set out inSchedule A are Specified 61/96; 51/2012M dicaments couverts2 Les m dicaments et les autres articlesindiqu s l'annexe A sont des m 61/96.

2 51/2012 Monitored Specified Drugs or classes ofspecified Drugs set out in Schedule B are 82/2013M dicaments contr l m dicaments couverts qui sontindiqu s nomm ment ou par cat gorie l'annexe Bsont des m dicaments contr l 82/2013 Application for benefits3(1)An eligible person may apply for benefitsby filing an application with the minister. Anapplication must be in a form acceptable to theminister and filed(a)annually, in which case the application mustbe filed before March 31 of the benefit year inwhich the benefits are being claimed; orDemande d'indemnisation3(1)La personne admissible peut pr senterau ministre une demande d'indemnisation.

3 Lademande est en la forme que le ministre jugeacceptable et est d pos e :a)dans le cas d'une demande annuelle, avantle 31 mars de l'ann e d'indemnisation pourlaquelle elle est pr sent e;1 PRESCRIPTION Drugs COST ASSISTANCEP115 6/95(b)on a one-time basis, in which case theapplication must be filed before March 31 of thefirst benefit year in which benefits are beingclaimed under such an )dans le cas d'une demande unique, avantle 31 mars de la premi re ann e d'indemnisationpour laquelle elle est pr sent (2)An eligible person who has made anapplication under subsection (1)

4 Must make aseparate application for benefits in respect of thepurchase of a Specified drug not entered on theelectronic data storage system referred to insection 9 of the Prescription Drugs Payment ofBenefits Regulation , Manitoba Regulation 60 application must filed within six months afterthe date of 61/96; 123/20013(2)La personne admissible qui a pr sent une demande en vertu du paragraphe (1) est tenuede d poser une demande d'indemnisation distinctepour tout achat de m dicaments couverts qui n'estpas entr dans le syst me de stockage lectroniquementionn l'article 9 du R glement sur lepaiement de prestations pour les m dicaments surordonnance, Cette demande distinctedoit tre d pos e dans les six mois qui suiventl'achat des m 61/96.

5 123/2001 Receipts4(1)An application for benefits referred to insubsection 3(2) shall be accompanied by receipts ina form acceptable to the us4(1)Les demandes d'indemnisation vis es auparagraphe 3(2) doivent tre accompagn es de re usque le ministre juge (2)If an eligible person,(a)is unable to produce a receipt as requiredunder subsection (1) to verify an item of cost of aspecified drug purchased in Manitoba becausethe receipt has been lost or destroyed or isunavailable for a reason satisfactory to theminister; or(b)applies for benefits in respect of specifieddrugs purchased in a province or territory ofCanada outside Manitoba;the person shall file with the application suchreceipts, records, papers or other documents as theminister may require to verify each item of cost ofspecified Drugs and that the purchaser is an 61/96.

6 123/20014(2)Dans les cas indiqu s ci-apr s, lapersonne admissible joint sa demande les re us, critures, pi ces ou autres documents que leministre peut exiger afin de v rifier l'authenticit dechaque achat de m dicaments couverts et deconfirmer que l'acqu reur est une personneadmissible :a)les re us exig s en vertu du paragraphe (1) quiattestent l'authenticit des achats au Manitoba dem dicaments couverts ont t perdus, d truits oune sont pas disponibles pour une raison que leministre estime satisfaisante;b)la demande d'indemnisation est pr sent e l' gard de m dicaments couverts achet s dansune province ou un territoire du Canada autreque le 61/96; 46/99; 123/2001 Coming into force5 This Regulation comes into force onFebruary 1, e en vigueur5Le pr sent r glement entre en vigueurle 1er f vrier 18, 1995 Minister of Health/Le ministre de la Sant ,18 janvier 1995 James C.

7 McCrae2 AIDE L'ACHAT DE SUR ORDONNANCEP115 6/95 SCHEDULE AANNEXE ASPECIFIED COUVERTSE ffective July 19, 2018 Entre en vigueur le 19 juillet 2018 PART 1 PARTIE 1 Any one of the following:Les m dicaments suivants : ABILIFY 2, 5, 10, 15, 20 AND 30 MG TABLETS ACCEL-AMLODIPINE 5 AND 10 MG TABLETS ACCU-CHEK AVIVA TEST STRIPS TO AMAXIMUM AS APPROVED BY THE MINISTER ACCU-CHEK COMPACT TEST STRIPS TO AMAXIMUM AS APPROVED BY THE MINISTER ACCU-CHEK EASY BLOOD GLUCOSE TESTSTRIPS TO A MAXIMUM AS APPROVED BYTHE MINISTER ACCU-CHEK FASTCLIX LANCETS ACCU-CHEK GUIDE BLOOD GLUCOSE TESTSTRIPS TO A MAXIMUM AS APPROVED BYTHE MINISTER ACCU-CHEK MOBILE CASSETTE TO AMAXIMUM AS APPROVED BY THE MINISTER ACCU-CHEK MULTICLIX LANCETS ACCUPRIL 5, 10.

8 20 AND 40 MG TABLETS ACCURETIC 10 AND 20 MGTABLETS ACCURETIC 20 MG/25 MG TABLETS ACCUTANE 10 AND 40 MG TABLETS ACCUTREND BLOOD GLUCOSE TEST STRIPS TO A MAXIMUM AS APPROVED BY THEMINISTER ACEBUTOLOL (SANIS) 100, 200 AND 400 MGTABLETS ACETAZOLAM 250 MG TABLETS ACETAZOLAMIDE (AA PHARMA) 250 MGTABLETS ACETEST ACETOXYL 10 AND 20% GEL ACH-CAPECITABINE 150 AND 500 MGTABLETS ACH-ESCITALOPRAM 10 AND 20 MGTABLETS ACT AMLODIPINE 5 AND 10 MG TABLETS ACT ANASTROZOLE 1 MG TABLETS ACT ATENOLOL 50 AND 100 MG TABLETS ACT BETAHISTINE 16 AND 24 MG TABLETS ABILIFY 2, 5, 10, 15, 20 ET 30 MG, ACCEL-AMLODIPINE 5 ET 10 MG, ACCU-CHEK AVIVA, B TONNETS DE PAR LE MINISTRE ACCU-CHEK COMPACT, BANDELETTES MAXIMUM PAR LE MINISTRE ACCU-CHEK EASY, B TONNETS DE PAR LE MINISTRE ACCU-CHEK FASTCLIX.

9 LANCETTES ACCU-CHEK GUIDE, B TONNETS DE PAR LE MINISTRE ACCU-CHEK MOBILE, CASSETTE PAR LE MINISTRE ACCU-CHEK MULTICLIX LANCETTES ACCUPRIL 5, 10, 20 ET 40 MG, ACCURETIC 10/12,5 ET 20/12,5 MG, ACCURETIC 20 MG/25 MG, ACCUTANE 10 ET 40 MG, ACCUTREND, B TONNETS POUR ..PREUVE MAXIMUM PAR LEMINISTRE ACEBUTOLOL (SANIS) 100, 200 ET 400 MG, 250 MG, ACETAZOLAMIDE (AA PHARMA) 250 MG, ACETEST , GEL DE 10 ET 20% ACH-CAPECITABINE 150 ET 500 MG, ACH-ESCITALOPRAM 10 ET 20 MG, ACT AMLODIPINE 5 ET 10 MG, ACT ANASTROZOLE 1 MG, ACT ATENOLOL 50 ET 100 MG, ACT BETAHISTINE 16 ET 24 MG, Drugs COST ASSISTANCEP115 6/95 ACT-BUPRENORPHINE/NALOXONE 2 AND 8 MG/2 MG TABLETS ACT BUPROPION XL 150 AND 300 MGTABLETS ACT CANDESARTAN 4, 8, 16 AND 32 MGTABLETS ACT CANDESARTAN/HCT 16 MGTABLETS ACT CELECOXIB 100 AND 200 MGCAPSULES ACT CLOMIPRAMINE 10.

10 25 AND 50 MGTABLETS ACT DORZOTIMOLOL 2% OPHTHALMICSOLUTION ACT-ESOMEPRAZOLE 40 MG TABLETS ACT EXEMESTANE 25 MG TABLETS ACT FAMCICLOVIR 125, 250 AND 500 MGTABLETS ACT GLICLAZIDE MR 30 MG TABLETS ACT IRBESARTAN 75, 150 AND 300 MGTABLETS ACT IRBESARTAN HCT 150 , 300 300/25 MG TABLETS ACT LATANOPROST/TIMOLOL 50 MCG/5 MG/ML OPHTHALMIC SOLUTION ACT METFORMIN 500 AND 850 MG TABLETS ACT-METHYLPHENIDATE ER 18, 27, 36 AND 54 MG TABLETS ACT OLANZAPINE , 5, , 10 AND 15 MGTABLETS ACT OLANZAPINE ODT 5, 10 AND 15 MGTABLETS ACT OLMESARTAN 20 AND 40 MG TABLETS ACT OLMESARTAN HCT 20 , 40 40/25 MG TABLETS ACT PAROXETINE 10, 20 AND 30 MGTABLETS ACT PRAVASTATIN 10, 20 AND 40 MGTABLETS ACT-PREGABALIN 25, 50, 75, 150, AND 300MG CAPSULES ACT QUETIAPINE 25, 100, 200 AND 300 MGTABLETS ACT ROPINIROLE , 1, 2 AND 5 MGTABLETS ACT SOLIFENACIN 5 AND 10 MG TABLETS ACT TELMISARTAN 40 AND 80 MG TABLETS ACT TEMOZOLOMIDE 5 MG CAPSULES ACT TEMOZOLOMIDE 20, 100, 140